HomeMy WebLinkAboutNo 13543
r -
Valuation 61, E* l b . !J0 Water Unit s2[4.17r7
Cltj/ Qf LakeVl~~@ Bldg. Permit Fee . 3~ ~ • Sewer Unit . ~itl5. t3f~
~
- State'Surcharge' ~ i . Q~J ~t Area . ~et~teL 0 - 0~
Metro SAC Charge....... 47.5 . r ~ Park Fee .
BUILDING PERMIT Other . P. ~.,RL1.. C~!£.C~... 2!~'7.411'S TOTAL PAID ~.2 , 71,x:7 .SCI
Receipt '
Permission is herebygranted to Tee Mi l'I ~r nn~trr„~e~nn
i Building on Lot No: 1b Block- 12 Subdivision~oxin~~' ~ Va'!_i ~~r Perk Rth Arid ,
r
Parcel No. 22-2ll7 i=] (10-1
in the CITY OF LAKEVILLE to be used as hermit tU Coi~~truCt Stit4g,le familq dwel ling
This permit is issued on the express condition that the X ERECTION ALTERATION REPAIRS
.ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
I~~
~ applieafion for such permit, and that aIP work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction of buildings.
Street Address 1 ~ i li'w~t rgr8~xt Avwnttig Da'srid $ Kr.{gas
Director, License and Inspection
Call for inspections - 469-4431. By ` - ~~1
i
1
~I
m
~ ~O
~ ~ ~ ,
~ n
~
~ , ~
1 ~ 1 ~j
~
~
i
BUILDING PERMIT APPLICATION
ONE AND TWO FAMILY RESIDENTIAL
CITY OF LAKEVILLE •
INSPECTION DEPARTMENT .
8747 208TH STREET W.
~ P.O. BOX 957 ?
LAKEVILLE, MN 55044
469-4431
r
7`
DATE :
p/~
JOB SITE ADDRESS : /~p/ D t1 ~l~'~f'~1 ~~~~i'~Ce` CX . m . ~.W . `
LEGAL DESCRIPTION: LOT: BLOCK:`~~~ SUBDIVISION OR SE TION:
OWNER : PHONE : °~.,,ti
STREET ADDRESS: CITY: ZIP:
CONTRACTOR : ~Y1; ~ ~ PHONE : l -~~1 Q /
STREET .ADDRESS : ~ :3~ . CITY : ~ Z IP : S 5d
CLASS OF WORK: NEW: ADDITION: ALTER/REMODEL: DEMOLISH:
PROPOSED USE (DESCRIBE IN DETAIL):
VALUATION OF WORK (EXCLUDING LAND) : °-r~~„ li, ,~f~~ -
T
I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION
ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH
THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE; THAT
I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMITS
AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN.
FOR CITY USE ONLY
ApplicanQt'~~s Si nature:
MzQ, Date: "Y Zone
Permit Fee $ . L~(,~
Plan Check $ ~G .
Building Official 's Signature: _
c--- 6 ~ Surcharge $ ~ G~ ~
~ _ - Date: ~ ~
SAC $
Comments:
S/W Units $
SwrArea
e e $Y~. ~
Park or Misc. $
TOTAL DUE $ i